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NPI Code Detail

MEDICARE: REHABILITATION AND PAIN CENTER PA

MEDICARE: REHABILITATION AND PAIN CENTER PA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208100000XPhysical Medicine & Rehabilitation PhysicianJ9485TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10031GNOTHERTXBCBS GROUP NUMBER

General Provider Information

NPI Number : 1942309612
Entity Type Code : Organization
Provider Name (Legal Business Name) : REHABILITATION AND PAIN CENTER PA
Provider Business Mailing Address
First Line : PO BOX 73467
Second Line :
City : HOUSTON
State : TX
Zip : 77273-3467
Country : US
Telephone Number : 173-816-1612
Fax Number : 281-586-3150
Provider Business Practice Location Address
First Line : 3726 DACOMA ST
Second Line :
City : HOUSTON
State : TX
Zip : 77092-8906
Country : US
Telephone Number : 713-812-1612
Fax Number : 713-586-3150
Authorized Official
Title or Position : PHYSICAL MEDICINE AND PAIN MNGT
Name : JOSEPH DANG
Credential : MD
Telephone Number : 713-812-1616
Provider Enumeration Date : 09/21/2006
Last Update Date : 08/22/2020

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Directions to “REHABILITATION AND PAIN CENTER PA ” Practice Location

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